Joseph Mickelson, MD
Family Medicine · Casper, WYNPI 1467448043
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 95.8% of the total across 297 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 28 manufacturers, the largest accounting for just 17.2% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2021 at $1,165 and has fallen 58.7% since, to $481 in 2025. Among family medicine clinicians in WY with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 297 payments — averaging $17.67 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$901
- AstraZeneca$886
- GSK$656
- Lilly USA, LLC$524
- Merck$369
- Novo Nordisk$277
- plus $2K from 22 others
What the payments were for
- Food & beverage$5,02896%
- Education$2214%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
General payments by program year
Who reported the general payments
Companies are grouped under their corporate parent — a single manufacturer often files under several CMS reporting entities. Research and ownership payments are counted separately and are not in this table.
| Company | Payments | Total |
|---|---|---|
| AbbVie(2 entities) | 50 | $901 |
| AstraZeneca | 38 | $886 |
| GSK | 39 | $656 |
| Lilly USA, LLC | 36 | $524 |
| Merck | 24 | $369 |
| Novo Nordisk | 17 | $277 |
| Astellas Pharma US Inc | 5 | $213 |
| Lundbeck LLC | 10 | $199 |
| Amgen | 12 | $180 |
| Sunovion Pharmaceuticals Inc. | 21 | $170 |
| Pfizer | 8 | $145 |
| Teva Pharmaceuticals USA, Inc. | 7 | $114 |
| E.r. Squibb & Sons, L.L.C. | 3 | $97 |
| Novartis | 4 | $83 |
| Boehringer Ingelheim | 5 | $75 |
| Amarin Pharma, Inc. | 4 | $70 |
| Insulet Corporation | 1 | $50 |
| Takeda Pharmaceuticals U.S.A., Inc. | 2 | $42 |
| Abbott | 2 | $33 |
| Sanofi Pasteur Inc. | 1 | $24 |
| Mylan Specialty L.p. | 1 | $23 |
| Boston Scientific | 1 | $23 |
| Abiomed | 1 | $22 |
| Grifols USA, LLC | 1 | $18 |
| Eisai Inc. | 1 | $16 |
| Bayer | 1 | $15 |
| Biogen | 1 | $14 |
| ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.) | 1 | $13 |
How this compares
$5,249 in reported general payments places this provider in the 95th percentile of 237 family medicine providers in Wyoming.
Medicare billing
What this is not: this is the amount Original Medicare Part B allowed for services this provider billed in 2024. It is not their income. It excludes Medicare Advantage — now more than half of all Medicare enrollment — along with Medicaid and all commercial insurance, and it is gross practice revenue before staff, rent, supplies and malpractice premiums. CMS also suppresses any figure covering ten or fewer patients, so low-volume providers appear smaller than they are.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| EliquisApixaban | 163 | $125,484 |
| MounjaroTirzepatide | 90 | $110,138 |
| OzempicSemaglutide | 70 | $90,731 |
| JardianceEmpagliflozin | 70 | $70,206 |
| Trelegy ElliptaFluticasone/Umeclidin/Vilanter | 87 | $59,705 |
| XareltoRivaroxaban | 58 | $55,612 |
| JanuviaSitagliptin Phosphate | 42 | $41,702 |
| TrulicityDulaglutide | 30 | $40,647 |
| FarxigaDapagliflozin Propanediol | 42 | $36,884 |
| MyrbetriqMirabegron | 65 | $28,367 |
| Breo ElliptaFluticasone/Vilanterol | 47 | $27,352 |
| Basaglar Kwikpen U-100Insulin Glargine,hum.Rec.Anlog | 47 | $21,978 |
| RybelsusSemaglutide | 13 | $21,009 |
| JanumetSitagliptin Phos/Metformin Hcl | 17 | $11,624 |
| Fluticasone-SalmeterolFluticasone Propion/Salmeterol | 68 | $10,503 |
Paid to pharmacies, not to this prescriber.
Companies that both paid and supply prescribed drugs
These companies both reported payments to this provider and make drugs the provider prescribed under Medicare Part D in 2024. For most specialties this overlap is expected — a cardiologist who is paid by a cardiology drugmaker also treats heart disease. It is shown so the reader can see it, not because it implies anything on its own.
| Company | Paid to this provider | Part D cost of their drugs |
|---|---|---|
| Lilly USA, LLCMounjaro, Trulicity | $524 | $150,785120 claims |
| PfizerEliquis, Premarin | $145 | $133,986179 claims |
| Novo NordiskOzempic, Rybelsus | $277 | $111,74083 claims |
| GSKTrelegy Ellipta, Breo Ellipta, Incruse Ellipta | $656 | $92,440149 claims |
| Boehringer IngelheimJardiance | $75 | $70,20670 claims |
| MerckJanuvia, Janumet | $369 | $53,32659 claims |
| AstraZenecaFarxiga | $886 | $36,88442 claims |
| Astellas Pharma US IncMyrbetriq | $213 | $28,36765 claims |
Reading this fairly. The Part D column is what drug plans and patients paid pharmacies — this provider received none of it, and it reflects how many patients they treat and what those drugs cost. Against peers, this provider's reported payments sit in the 95th percentile of 237 family medicine providers in Wyoming.
Other family medicine in Casper
- Joseph SchoeberCasper$176K
- James McLennanCasper$13K
- Karlynn SieversCasper$10K
- Eric LawrenceCasper$7K
- Louis RoussalisCasper$5K
- Jonathan BinderCasper$4K
- Sherrill FoxCasper$4K
- Taylor PedersenCasper$4K
- Tiffany SpauldingCasper$2K
- Brehan NewellCasper$2K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Billing: Medicare Physician & Other Practitioners, data year 2024. Original Medicare Part B only.
- Identity: NPPES NPI Registry, July 2026.